1191) What is the PROPER time TO WAIT in the tissue expansion process before initiate sequential inflation?
A. 2 days
B. 3 days
C. 5 days
D.1 week
E. 2 weeks
1192) The PROPER anatomical area - in the scalp - to place the tissue expander is UNDER
A. The skin.
B. The subcutaneous tissue
C. The galea aponeurotica
D. The temporalis muscle
E. The pericranium
1193) Which of the following statements regarding the physiology of tissue expansion is FALSE?
A. The epidermis has an increased mitotic activity
B. The dermis layer is also increased
C. The muscle tissue demonstrates atrophy
D. The vascular tissue demonstrates proliferation
E. The neural tissue is intolerant to expansion
1194) What is the MOST common complication noted in tissue expansion?
A. Deflation
B. Migration
C. Infection
D. Exposure
E. Seroma
1195) Which of the following statements regarding tissue expansion used in the head and neck is FALSE?
A. Tissue expanders are made of silicone
B. Tissue expander base size is 2.5 times the area to be reconstructed
C. Tissue expanders work best under the scalp or forehead
D. Tissue expanders usually have a remote filling port
E. Tissue expanders have a high rate of infection
1196) Which of the following local facial flap is the ONE represented in the drawing?
B. Interpolation
C. Transposition
D. Advancement
E. Hinge
1197) Which of the following statements regarding the Radial forearm flap is FALSE?
A. It is designed in the volar forearm.
B. It can be harvested as fascial , fascio-cutaneous or osteo-cutaneous flap.
C. It has a very small vessel diameter with limited pedicle length
D. It is adequate for reconstruction of total lower lip reconstruction
E. It can be harvested with the inclusion of the lateral antebrachial cutaneous nerve
1198) Which of the following Free Tissue Transfer is the BEST to cover the dead space produced after total maxillectomy with orbital exenteration?
A. Radial Forearm
B. Latissimus dorsi
C. Rectus abdominis
D. Gracilis muscle
E. Transverse rectus abdominis
1199) Which of the following DOMINANT pedicles related to these Free Tissue Transfer Flaps is FALSE?
A. Radial Forearm Flap-Radial artery
B. Lateral Arm Flap-Posterior radial collateral artery
C. Scapular Flap-Circumflex artery
D. Latissimus dorsi Flap-Intercostal arteries
E. Rectus abdominis-Deep inferior and superior epigastric arteries
1200) How many mm Hg is the tourniquet inflated in preparation for harvesting the Radial Forearm Free Flap?
A. 75 mm Hg.
B. 100 mm Hg.
C 150 mm Hg.
D. 250 mm Hg.
E. 350 mm Hg.
ANSWERS & REFERENCES
1191) E 2 weeks
Hoffman J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third Edition, Thieme, pp. 745-756
http://emedicine.medscape.com/article/880686-overview
1192) C The galea aponeurotica
Ducic Y.: Reconstruction of the Scalp, Microvascular Reconstructive Surgery of the Face, Facial Plastic Surgery Clinics of North America, (Wax M. K., editor), May 2009, Vol. 17, No. 2., pp. 177-187
http://emedicine.medscape.com/article/880686-overview
1193) B The dermis layer is also increased
Hoffman J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third Edition, Thieme, pp. 745-756, 2009
http://emedicine.medscape.com/article/880686-overview
1194) D Exposure
Hoffman J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third Edition, Thieme, pp. 745--756, 2009
1195) E Tissue expanders have a high rate of infection
Hoffman J. F.: Tissue Expansion in Reconstruction of the Head and Neck, Chapter 55 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third Edition, Thieme, pp. 745-756, 2009
http://emedicine.medscape.com/article/1295239-overview
1196) C Transposition
Baker S. R.: Reconstruction of the Facial Defects, chapter 27 Otolaryngology Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Third Edition, 1998, pp.527-559
1197) C It has a very small vessel diameter with limited pedicle length
Burkey B. B., Schmalbach C.E., Coleman Jr. J.R.: Microvascular Flaps, Chapter 57 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third Edition, Thieme, pp. 765-793
http://emedicine.medscape.com/article/1284724-overview
Odell M. J., Varvares M. A.: Microvascular Reconstruction of Major Lip Defects, Microvascular Reconstructive Surgery of the Face, Facial Plastic Surgery Clinics of North America, (Wax M. K., editor), May 2009, Vol. 17, No. 2., pp. 203-209
http://emedicine.medscape.com/article/1284631-overview
1198) C Rectus abdominis
Shrime M. G., Gilbert R. W.: Reconstruction of the Midface and Maxilla, Microvascular Reconstructive Surgery of the Face, Facial Plastic Surgery Clinics of North America, (Wax M. K., editor), May 2009, Vol. 17, No. 2., pp. 211-223
http://emedicine.medscape.com/article/1284724-overview
1199) D Latissimus dorsi Flap-Intercostal arteries
Burkey B. B., Schmalbach C.E., Coleman Jr. J.R.: Microvascular Flaps, Chapter 57 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third Edition, Thieme, pp. 765-793
http://emedicine.medscape.com/article/1284724-overview
1200) D 250 mm Hg.
Burkey B. B., Schmalbach C.E., Coleman Jr. J.R.: Microvascular Flaps, Chapter 57 in Facial Plastic and Reconstructive Surgery, (Papel I. D., editor), Third Edition, Thieme, pp. 765-793
http://emedicine.medscape.com/article/880531-treatment
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Updated: August 5, 2017
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